Case Manager

Become a Part of Our Caring Community and Help Us Put Health First

Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a Case Manager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities.

Key responsibilities:

• Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP).
• Coordinate services that address members' health and safety needs, ensuring support is provided in the least restrictive environment in accordance with the MCP.
• Collaborate continuously with a Field Care Nurse (RN) to review and update care plans and address members' evolving needs.
• Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence.
• Schedule, conduct, and document quarterly in-person visits and maintain monthly contact with members by phone.
• Identify, arrange, and monitor support services for members, including those related to social integration, community resources, employment, housing, and other non-medical needs.
• Engage in clear and empathetic communication with members to better understand their needs, support informed decision-making, and ensure cost-effective service delivery.
• Prioritize safety by continuously evaluating risk factors and providing education to members to promote overall health and wellness.
• Maintain accurate and timely documentation of activities, including case notes, service authorizations, and updates to the Member Care Plan.
• Foster direct collaboration with service providers, natural supports, and other community partners to enhance member outcomes.
• Travel is necessary to conduct member visits and fulfill role responsibilities.

Use your skills to make an impact

Required Qualifications

• Four-year bachelor's degree in human services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor's degree in any other field with three (3) years' related experience working with at least one of the Family Care target populations.
• Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications.

***The Family Care target group population is defined as: frail elders and adults with intellectual, developmental, or physical disabilities***

Preferred Qualifications

• Case Management experience
• Experience with electronic case note documentation and experience with documenting in multiple computer applications/systems
• Knowledge of community health and social service agencies and additional community resources

Additional Information

• Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
• Work Location: Park Falls, WI
• Travel: up to 40% throughout Park Falls, WI. Mileage reimbursement follows our mileage policy.
• Typical Workdays/Hours: Monday Friday, 8:00 am 4:30 pm CST

Scheduled Weekly Hours 40

Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year

Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.